RAVITEJA ALLA MD
NPI 1952041550
Student in an Organized Health Care Education/Training Program in Pembroke Pines, FL

Q: What is Raviteja Alla's NPI number?

The NPI number for Raviteja Alla is 1952041550. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Raviteja Alla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Raviteja Alla was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2022PECOS Enrolled

703 N FLAMINGO RD, PEMBROKE PINES, FL 33028(954) 265-4463 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Raviteja Alla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVITEJA ALLA MD (NPI 1952041550) is an individual student in an organized health care education/training program in Pembroke Pines, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952041550

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameRAVITEJA ALLACredential: MD

Location Address703 N FLAMINGO RDPembroke Pines, FL 33028-1006

Mailing Address703 N Flamingo Rd Fl Gme2Pembroke Pines, FL 33028-1006

Phone(954) 265-4463

Sole ProprietorNo

Enumeration DateMarch 31, 2022

Last NPPES UpdateMay 26, 2025

NPPES CertifiedApril 10, 2025

✔ NPI 1952041550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

703 N FLAMINGO RD, Pembroke Pines, FL 33028

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raviteja Alla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HADEEL DWEIK

Student in an Organized Health Care Education/Training Program